Clinical trial Recruiting at 47 sites Phase 3 Interventional Ages 18 and up Women only

PF-08634404 plus chemotherapy in adults with advanced or recurrent pMMR endometrial cancer

Official title: AN INTERVENTIONAL PHASE 3, OPEN LABEL, RANDOMIZED STUDY TO EVALUATE EFFICACY AND SAFETY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY VERSUS PEMBROLIZUMAB IN COMBINATION WITH CHEMOTHERAPY IN ADULT PARTICIPANTS WITH ADVANCED OR RECURRENT MISMATCH REPAIR PROFICIENT ENDOMETRIAL CANCER

Run by Pfizer · NCT07578649 · Data updated 2026-11-12

This study tests whether PF-08634404 added to standard chemotherapy helps adults with advanced or recurrent pMMR endometrial cancer more than pembrolizumab plus chemotherapy.

More Endometrial Cancer trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment600 (estimated)
SponsorPfizer
Industry-sponsored
Drugs / interventionsimmunotherapy, pembrolizumab, chemotherapy
Locations54 sites (Jupiter, Florida and 53 other locations)
StatusRecruiting
StartedOctober 14, 2026
Main results expectedJune 1, 2029
Study endsJanuary 30, 2031
Registry record updatedOctober 30, 2026
Trial IDNCT07578649 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older with newly diagnosed or recurrent advanced or newly diagnosed Stage III/IV endometrial cancer, whose tumors are pMMR and who can provide tumor tissue for testing.

Probably not a fit

Patients with non-pMMR tumors, pure sarcomas, or those unlikely to tolerate study treatments may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 trial compares PF-08634404 in combination with chemotherapy to pembrolizumab plus chemotherapy in adults with mismatch repair-proficient (pMMR) endometrial cancer that is advanced or has recurred. Eligible participants have measurable disease or high-risk features and are eligible for non-curative treatment options. Key assessments include central testing of tumor MMR/p53 status, ECOG performance status 0-1, and adequate organ function. The study is sponsored by Pfizer with collaboration from GOG Foundation and ENGOT, and is conducted at select centers in Florida. Primary endpoints typically include progression-free survival and overall survival, with safety monitoring throughout.

Why it matters

Potential benefit: If successful, this approach could improve outcomes for patients with hard-to-treat pMMR endometrial cancer.

How similar studies have gone: Prior research in endometrial cancer has explored combinations of targeted agents with chemotherapy; the success of PF-08634404 in this setting remains to be established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Women ≥18 years of age who are confirmed not pregnant at screening.
* Histologically or cytologically confirmed endometrial cancer that is recurrent or advanced; carcinosarcomas are eligible but pure sarcomas are excluded.
* Newly diagnosed FIGO Stage III disease with measurable disease per RECIST v1.1, newly diagnosed FIGO Stage IV disease with or without measurable disease, or recurrent disease with or without measurable disease for which curative treatment with surgery and/or radiotherapy is unlikely.
* For participants with recurrent disease, prior adjuvant systemic anti-cancer therapy is allowed if relapse occurred more than 6 months after the last dose.
* Must provide tumor tissue for prospective central assessment of MMR and p53 status.
* Proficient mismatch repair (pMMR) endometrial cancer as determined by central testing.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
* Life expectancy of at least 12 weeks.
* Adequate organ function as defined in the protocol.

Exclusion Criteria:

* Prior systemic therapy for first-line advanced or recurrent endometrial cancer.
* Prior immunotherapy or anti-angiogenic therapy.
* Deficient mismatch repair (dMMR) endometrial cancer by central testing.
* Active or untreated central nervous system (CNS) metastases; participants with previously treated and clinically stable brain metastases may be eligible if not requiring steroids and without evidence of progression.
* Clinically significant risk of bleeding or fistula, including a history of severe bleeding disorders.
* History of another malignancy within 3 years, except for cancers with negligible risk of recurrence or death.
* History of allogeneic organ or hematopoietic stem cell transplantation; active autoimmune disease requiring systemic treatment within the past 2 years; or history of immunodeficiency
* Interstitial lung disease, pneumonitis, or clinically significant pulmonary disease
* Uncontrolled or significant cardiovascular, metabolic, renal, hepatic, or vascular disease
* Active or uncontrolled infection.
* Recent major surgery or severe trauma within protocol-defined washout periods.

Where it's running

  • Jupiter Medical Center/ Anderson Family Cancer Institute
    Jupiter, Florida, United States
    Recruiting
  • Orlando Health Ambulatory Care Center
    Orlando, Florida, United States
    Recruiting
  • Orlando Health Cancer Institute
    Orlando, Florida, United States
    Recruiting
  • Orlando Health Orlando Regional Medical Center
    Orlando, Florida, United States
    Recruiting
  • Orlando Health Winnie Palmer Hospital for Women & Babies
    Orlando, Florida, United States
    Recruiting
  • Minnesota Oncology Hematology, PA
    Coon Rapids, Minnesota, United States
    Recruiting
Show 44 more locations
  • Minnesota Oncology Hematology, PA
    Edina, Minnesota, United States
    Recruiting
  • Minnesota Oncology Hematology, PA
    Maple Grove, Minnesota, United States
    Recruiting
  • Minnesota Oncology Hematology, PA
    Maplewood, Minnesota, United States
    Recruiting
  • Minnesota Oncology Hematology, PA
    Woodbury, Minnesota, United States
    Recruiting
  • The Center of Hope
    Reno, Nevada, United States
    Recruiting
  • White Plains Hospital
    White Plains, New York, United States
    Recruiting
  • Miami Valley Hospital South
    Centerville, Ohio, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Happy Valley, Oregon, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Portland, Oregon, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Tigard, Oregon, United States
    Recruiting
  • Sarah Cannon Research Institute- Pharmacy
    Nashville, Tennessee, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • Texas Oncology - West Texas
    Abilene, Texas, United States
    Recruiting
  • Texas Oncology-West Texas
    Amarillo, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Austin, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Austin, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Austin, Texas, United States
    Recruiting
  • Texas Oncology-West Texas
    El Paso, Texas, United States
    Recruiting
  • Texas Oncology - West Texas
    El Paso, Texas, United States
    Recruiting
  • Texas Oncology - West Texas
    El Paso, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Harlingen, Texas, United States
    Recruiting
  • US Oncology Investigational Products Center (IPC)
    Irving, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    McAllen, Texas, United States
    Recruiting
  • Texas Oncology-West Texas
    Midland, Texas, United States
    Recruiting
  • Texas Oncology - West Texas
    Odessa, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Waco, Texas, United States
    Recruiting
  • Texas Oncology - Central South
    Weslaco, Texas, United States
    Recruiting
  • Texas Oncology-West Texas
    Wichita Falls, Texas, United States
    Recruiting
  • Virginia Oncology Associates
    Chesapeake, Virginia, United States
    Recruiting
  • Virginia Oncology Associates
    Newport News, Virginia, United States
    Recruiting
  • Virginia Oncology Associates
    Norfolk, Virginia, United States
    Recruiting
  • Virginia Oncology Associates
    Suffolk, Virginia, United States
    Recruiting
  • Virginia Oncology Associates
    Williamsburg, Virginia, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Vancouver, Washington, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Hudson, Wisconsin, United States
    Recruiting
  • Sapporo Medical University Hospital
    Sapporo, Hokkaido, Japan
    Recruiting
  • Hyogo Cancer Center
    Akashi, Hyōgo, Japan
    Recruiting
  • Cancer Institute Hospital of JFCR
    Koto-ku, Tokyo, Japan
    Recruiting
  • Fukushima Medical University Hospital
    Fukushima, Japan
    Recruiting
  • Niigata Cancer Center Hospital
    Niigata, Japan
    Recruiting
  • Taichung Veterans General Hospital
    Taichung, Taiwan
    Recruiting
  • New York Oncology Hematology
    Albany, New York, United States
    Not yet recruiting
  • GenesisCare - Campbelltown
    Campbelltown, New South Wales, Australia
    Not yet recruiting
  • Toowoomba Hospital
    Toowoomba, Queensland, Australia
    Not yet recruiting

+4 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.